Capitation Rate and Per Capita Cost Information

2008

• Final 2008 capitation rate report (January 2008 rates) (PDF)   
• Final 2007-09 Per Capita Cost Report (PDF)  

2007

• Draft capitation rates effective July 1, 2007 (PDF) - These rates reflect legislative action that repeals the benefit reductions enacted beginning Jan. 1, 2007 (e.g. dental, vision, and OTC drug reductions).
• Final Capitation Rate Report (PDF)
• 2005-2007 Per Capita Cost Report (PDF) - An in-depth analysis of data and explanation of methodology used to determine the 2005-07 budget for Oregon Health Plan, prepared by the actuarial firm PricewaterhouseCoopers.
• Non-Participating Hospital Per Diems (PDF)
• Comparison of costs for children's intensive mental health services (PDF) 
• Impact of changes to Prioritized List (PDF)
• Overview of MHO capitation rate adjustments (PDF)
• Calculation of inpatient hospital geographic adjustment (PDF)

2006

• Capitation Rate Report (PDF) - This PDF report has capitation rates to be paid to contracting physical health, mental health, dental, chemical dependency plans and the physician care organization under the Oregon Health Plan Medicaid Demonstration for January 1, 2006 through December 31, 2006, and the methods for arriving at those rates.
• 2005-2007 Per Capita Cost Report (PDF) - An in-depth analysis of data and explanation of methodology used to determine the 2005-07 budget for Oregon Health Plan, prepared by the actuarial firm PricewaterhouseCoopers.
• Development of draft mental health risk adjustment risk factors (PDF)
• Development of rebased standard capitation rates (PDF)
• Overview of development of draft CY 2006 capitation rates (PDF)
• Adjustments to administration allowance for dual eligibles (PDF)
• Resolution of capitation rate issues (PDF)

2005

• 10/2004 Capitation Rate Report (PDF) - This 147-page PDF report has capitation rates to be paid to contracting physical health, mental health, dental, and chemical dependency plans under the Oregon Health Plan Medicaid Demonstration for October 1, 2004 through September 30, 2005; and the methods for arriving at those rates.
• 10/2005 Capitation Rate Report (PDF) - This PDF report has capitation rates to be paid to contracting physical health, mental health, dental, chemical dependency plans and the physician care organization under the Oregon Health Plan Medicaid Demonstration for October 1, 2005 through December 31, 2005, and the methods for arriving at those rates.
• 2003-2005 Per Capita Cost Report (PDF)

Archive

2003-04 Capitation Rate Report (PDF) - This 109-page PDF report has capitation rates to be paid to contracting physical health, mental health, dental, and chemical dependency plans under the Oregon Health Plan Medicaid Demonstration for October 1, 2003 through September 30, 2004; and the methods for arriving at those rates.

2002-03 Capitation Rate Report (PDF)  - This 102-page PDF report has capitation rates to be paid to contracting physical health, mental health, dental, and chemical dependency plans under the Oregon Health Plan Medicaid Demonstration for October 1, 2002 through September 30, 2003; and the methods for arriving at those rates.

2001-02 Capitation Rate Report (PDF)  - Rates for October 1, 2001 through September 30, 2002.